Caitlin Marie Bonneville, RN, BSN
Individual provider Active NPI Registered Nurse · Leicester, MA
NPI 1689197840 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1689197840
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN2305696 (MA)
- Practice address
- 184 Rawson St
Leicester, MA 01524-2018 - Phone
- (774) 287-1874
- NPI assigned
- Jul 19, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2305696 | MA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Live Your Life Healthcare LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2305696 | MA | Yes |
Addresses
Primary practice location
184 Rawson St
Leicester, MA 01524-2018
Mailing address
184 Rawson St
Leicester, MA 01524-2018
Phone (774) 287-1874
Other providers in Leicester, MA
- Christine Babraitis
- Kate Bard
- Samantha Elizabeth Bergeron
- Carol Ann Berglund
- Kendra Marie Beveridge
- Dana Booth
- James Buzzell
- Stephen Cannon
- Caring Hands Home Care LLC
- Central Mass Sleep Solutions LLC
All providers in Leicester, MA · Registered Nurse in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.